Evidence map›Paper›PMID 42809197›Full record

ArticleGeneral thoracic and cardiovascular surgery2026

Robotic left S10 segmentectomy preserving an A9 branch missed on initial 3D-CT reconstruction: a lung base-flip approach.

Shuji Mishima, Yuichi Oguchi, Daisuke Nakamura, Yukihiro Terada, Kazutoshi Hamanaka, Kimihiro Shimizu

Abstract read
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Article in General thoracic and cardiovascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shuji MishimaDivision of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan. smishima@shinshu-u.ac.jp.ORCID http://orcid.org/0000-0002-5807-3558
Yuichi OguchiDivision of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Daisuke NakamuraDivision of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Yukihiro TeradaDivision of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Kazutoshi HamanakaDivision of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Kimihiro ShimizuDivision of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate anatomical assessment is essential for precise pulmonary segmentectomy. We report a robotic left S10 segmentectomy in a 72-year-old woman in whom the initial three-dimensional computed tomography (3D-CT) reconstruction showed no pulmonary artery accompanying B9bii and focal irregularity of A10b. Re-evaluation of the contrast-enhanced CT images revealed a small A9bii arising from A10b that had not been depicted on the initial reconstruction. Manual correction of the 3D-CT images clarified the arterial anatomy and guided surgical planning. A lung base-flip approach provided a favorable caudal view of the deep A10b-A9bii bifurcation, enabling identification and preservation of A9bii. This case highlights the importance of recognizing anatomical discrepancies on reconstructed images, reassessing the CT images, and selecting an appropriate surgical approach to preserve anomalous pulmonary arterial branches.

Indexed as

Lung base-flip approachRobot-assisted thoracic surgerySegmentectomy

Identifiers

PMID42809197

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.